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This is a publication of the Sierra Leone Ministry of Health and Sanitation.Sierra Leone is a country with one of the highest maternal and child mortality rates in the world. The high maternal mortality ratio of 1,165 per 100,000 live births, neonatal and under-five mortality rate of 39 and 156 per 1000 live births respectively and an adolescent birth rate of 125.1 (DHS 2013) highlights the need for greater investments in reproductive maternal newborn child and adolescents health (RMNCAH).